Based on public Medicaid payment data.
Omar Hisham Baker Sudqi
Medicaid Provider in Lancaster, CA
Type
Individual Provider
Address
45104 10 Th St W
Lancaster, CA 935342310
Phone
6619422391
NPI
1083732010
Procedures
2
Total Claims
65
Patients Served
62
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $55.20 | 50 | 50 |
| Dental Filling | $67.20 | 15 | 12 |
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